Judith Geneva Balcerzak, MSW, PHD., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 8920 Issued in CA

Practice address

38 Teloma Dr
Ventura, CA 93003-2155

Phone

(805) 655-7640

NPI assigned

Sep 25, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1780834838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 BAYSIDE CIRCLE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930352147",
            "telephone_number": "805-985-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TELOMA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032155",
            "telephone_number": "805-655-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCERZAK",
        "first_name": "JUDITH",
        "middle_name": "GENEVA",
        "name_prefix": "Dr.",
        "credential": "MSW, PHD., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 8920",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amado Baladad, RN
• Balance Health Wellness Mhha
• Balance Treatment Corporation
• Sumathi Balaraman, DO
• Amalya Balayan, FNP-BC
• Brianna Baldwin, DPT.
• Joanne Lee Baldwin, RN PHN
• Ronald Bale, PH.D.
• Shirah Bale, PSYD
• Stephan Leo Balitao

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.